Dr Lyle Walter Wagner Jr, PHD | |
236 N Sibley Ave, Litchfield, MN 55355 | |
(320) 693-7708 | |
(320) 434-2176 |
Full Name | Dr Lyle Walter Wagner Jr |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 236 N Sibley Ave, Litchfield, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972675486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP0681 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
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Dr Lyle Walter Wagner Jr, PHD 236 N Sibley Ave, Litchfield, MN 55355-2141 Ph: (320) 693-7708 | Dr Lyle Walter Wagner Jr, PHD 236 N Sibley Ave, Litchfield, MN 55355 Ph: (320) 693-7708 |
Rachelle Christie, BS, LADC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 324 E 5th St, Litchfield, MN 55355 Phone: 612-413-0325 | |
Mr. David Edward Schlack, LADC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1326 East Ripley Street, Litchfield, MN 55355 Phone: 320-593-0440 Fax: 320-543-0442 |